| NPI | 1154810901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMAN MANCHIREDDY Owner/Medical Director 703-994-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254080) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |